• Senior Coding Educator

    Humana (Helena, MT)
    …a part of our caring community and help us put health first** The Senior Coding Educator will work closely with providers to identify documentation and coding ... successful candidate will possess extensive, in-depth and broad knowledge of the HCC risk adjustment methodology gained from actual experience of chronic condition… more
    Humana (10/14/25)
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  • Facility Coding Inpatient DRG Coding

    Banner Health (OK)
    …DRG (MS/APR-DRG), APC, HCC , other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix Index by use of specialized ... you bring your **5 years of acute care inpatient coding background to a team that values growth and...development!** **This is a Quality position, not a day-to-day coding production role but does require coding more
    Banner Health (10/16/25)
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  • Coding Data Quality Auditor

    CVS Health (Helena, MT)
    …to demonstrate proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Ability ... expertise in either written or verbal forms including communication with clinical or coding staff, federal regulators and vendor coding resources. + Leads… more
    CVS Health (10/16/25)
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  • Manager, Clinical Quality Coding

    Sutter Health (Sacramento, CA)
    …knowledge of Quality Coding requirements such as the Medicare Advantage Coding Program/Hierarchical Condition Category + ( HCC ), as well as medical ... Office-Valley **Position Overview:** Responsible for leadership, management and monitoring of coding workflows, data management, coding staff specific to… more
    Sutter Health (10/11/25)
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  • Divisional Coding Quality Auditor…

    AdventHealth (Altamonte Springs, FL)
    …Conditions (HAC), Patient Safety Indicators (PSI), and Hierarchical Condition Categories ( HCC ) Expert level knowledge of medical terminology, coding guidelines ... : Remote **The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator is responsible for supporting the… more
    AdventHealth (10/06/25)
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  • *Medical Coding (Provider Education)…

    Henry Ford Health System (Troy, MI)
    …you ready to bridge the gap between Providers clinical knowledge and your Coding Expertise? Are you ready to revolutionize Healthcare Documentation and Coding ? ... YES, this position could be for you! The Medical Coding Education Coordinator is 95% remote work, with travel... guidelines, sharing insights on NCCI Edits, ICD-10CM, CPT, HCC , and compliance standards. . Empower through Education: Develop… more
    Henry Ford Health System (10/03/25)
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  • Clinical Documentation Specialist Auditor-…

    UNC Health Care (Chapel Hill, NC)
    …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG, hierarchical condition categories ( HCC ), and CDI ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...the CDS training modules. 3. Provides ongoing documentation and coding education to CDI Physician Advisers and CDS staff.… more
    UNC Health Care (07/29/25)
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  • Risk Adjustment Coder

    MVP Health Care (Tarrytown, NY)
    …+ Ability to verify and ensure the accuracy, completeness, specificity and appropriate coding based on CMS HCC categories and guidelines. + Proficiently ... you have a passion for accuracy, quality, and compliance coding . **What's in it for you:** + Growth opportunities...information as it pertains to CMS Hierarchical Condition Categories ( HCC ). + Actively participates in and supports the Risk… more
    MVP Health Care (10/15/25)
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  • Supv Clinical Documentation / HIM Clinical…

    Hartford HealthCare (Farmington, CT)
    …will work in collaboration with the clinical documentation specialists (CDS), coding professionals, providers, nursing staff and other patient care givers to ... record. This role supports attaining appropriate DRGs, quality outcomes, and accurate coding based on sound clinical entries in the medical record. The Clinical… more
    Hartford HealthCare (09/17/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …critical role in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external partners. Your work will help ... uphold the highest standards in documentation and coding practices-protecting against fraud, waste, and abuse. In this...as CPMA, RHIT, RHIA, CCA, CCS. * Expertise in CMS- HCC , and HHS- HCC Risk Adjustment models. Compensation… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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